CA2 - PEDIA SET A
Toddlers have a negativistic and egoistic personality. They usually exhibit temper tantrums to gain control over their environment. Bona, a Community Health Nurse, is making a newborn follow-up home visit. During the visit, Nicole, a 2-year-old sibling, has temper tantrums. Which of the following is the most appropriate nursing action? A. Help Nicole understand the rules B. Leave Nicole alone in her bedroom C. Suggest that the parents ignore the child's behavior D. Explain that Nicole is jealous of the new baby
A. Help Nicole understand the rules
Analyn is a mother of a 4-month-old infant and asks the nurse when she can start feeding her baby solid food. Which of the following should the nurse include in teaching Analyn about the nutritional needs of the infant? A. Infant cereal can be introduced by spoon when the extrusion reflex fades B. Solid foods should be given as soon as the first tooth erupts C. Pureed foods can be offered when the infant has tripled his birth weight D. Infant formula or breast milk provides adequate nutrients for the first year
A. Infant cereal can be introduced by spoon when the extrusion reflex fades
Minchin is discussing the concepts of growth and development to a group of nursing students. She asked Cedric to summarize it. Which of the following responses needs further teaching? A. The sequence of each stage is unpredictable and varies from person to person B. Growth is the quantitative change while development is a qualitative maturation of systems C. Growth and development occur in a cephalocaudal and proximo-distal pattern D. Growth and development are continuous influenced by maturational, environmental, and genetic factors
A. The sequence of each stage is unpredictable and varies from person to person
SITUATION: Mr. & Mrs. Cua's first child, Homer, was born with a unilateral cleft lip & cleft palate. The lip defect extended through the floor of the nostril & communicated with the defect in the anterior palate. For which reason would it be advisable for Homer's cleft lip to be repaired as soon as possible after birth? A. To facilitate feeding & improve nutrition B. To eliminate the danger of aspiration of secretions C. To increase his parents' acceptance of his defect D. To prevent speech impairment & voice problems
A. To facilitate feeding & improve nutrition
There is an appropriate type of play for every age of an infant based on their ability and what they can appreciate. During 7 months, the infant appreciates the face of his caregivers. Hubert is playing with a 7-month-old boy, Santino. What type of play will be best for Santino at his stage? A. Hide and seek B. Peek-a-boo C. Make believe D. Building blocks
B. Peek-a-boo
SITUATION: Susie, 9 y/o has been diagnosed with tracheoesophageal fistula. Which of the following actions is most important for Susie's care? A. Prevent infection B. Prevent aspiration C. Prevent bleeding D. Provide oxygenation
B. Prevent aspiration
Toys should be appropriate according to the age of the infant. It should also develop the infant's mental and physical ability as well. During the check-up, Brian, also a 7-month-old, cried loudly. What toy should you give to Brian to stop him from crying? A. Pacifier B. Rattle C. Cubes D. Rubber ducky
B. Rattle
Imaginary friends are common among preschoolers as a way for them to manipulate their environment. The parents of Jillian, a 4-year-old child, told the nurse that the child has an invisible friend named Jonjon. Jillian blames Jonjon for any misbehavior and is often heard scolding him, calling him a bad boy. The nurse understands that the best interpretation of this behavior is which of the following? A. A delay in moral development B. Impaired parent-child relationship C. A way for the child to assume control D. Inconsistent parental discipline strategies
C. A way for the child to assume control
Born with a unilateral cleft lip & cleft palate. The lip defect extended through the floor of the nostril & communicated with the defect in the anterior palate. For Homer's parents, the most painful aspect of his deformity is probably the fact that it: A. Interferes with feeding B. Can't be wholly corrected C. Affects his face D. Requires lengthy repair
C. Affects his face
Gino Ang, who weighed 7 lbs. at birth, was discharged from the hospital on his 3rd day of life. During the next 2 weeks at home, he developed severe vomiting & weight loss, although his appetite remained good. Finally, Gino's mother brought him to the hospital ER for treatment. Gino's PE revealed severe dehydration, epigastric pain & distention, and a palpable olive-size mass in the right upper quadrant. Careful history taking may reveal that Gino had developed which gastrointestinal symptom besides vomiting? A. Excessive salivation B. Noisy eructation C. Decreased frequency of stools D. Fresh blood in the stool
C. Decreased frequency of stools
During the 6th month, an infant's first teeth are expected to appear. Mr. Lao had their first child who had reached his 6th month. They noticed that the child becomes irritable, and frequent salivation is observed. Which of the following could BEST explain this phenomenon? A. The child has many sores in his mouth and gums B. This is a normal occurrence for children 6 months and below C. Eruption of central incisors begins D. The mouth should be cleaned because of bacterial infection
C. Eruption of central incisors begins
The Oedipal complex arises during the preschool stage based on the phallic stage of Freud's psychosexual development. This means that the child is attracted towards the parent of the opposite sex. Dingdong and Marian have a son Kenneth, who is now 4 years old. Kenneth seems to be more affectionate towards his mother. What is the best indicator that Kenneth has resolved this conflict? A. He now assumes the role of his father B. He now assumes the role of his mother C. He now mimics the gestures of his father D. He now mimics the gestures of his mother
C. He now mimics the gestures of his father
Extra-uterine life assessment in newborns is essential to determine the over-all condition of the newborn to his new environment. One of the most significant assessment tools used is the APGAR scoring. Which of the following is NOT true about it? A. APGAR scoring was formulated by Virginia Apgar B. It is done to assess the newborn's ability to adapt to the extra-uterine life C. It can provide early detection of certain congenital diseases D. It is done on the 1st and 5th minutes of life
C. It can provide early detection of certain congenital diseases
Sonya Santos weighed 7 lbs at the time of her birth. 2 months later, her mother noted that the stools were frequently foul-smelling and frothy. During the next few months, Sonya failed to gain weight so her mother took her to the pediatric clinic at the age of 9 months. The examining physician found Sonya to be poorly developed, underweight, and suffering from bronchitis with a frequent non-productive cough. Chest x-ray, blood tests, stool analysis, and sweat were done. Sonya's family history revealed that she has a first cousin who had mucoviscidosis. The pathophysiologic problem underlying the symptoms of this disease is: A. Sluggish lymph circulation due to increased tortuosity of vessels B. Hypertrophy of smooth muscle fiber surrounding tubular structure C. Production of abnormally tenacious secretions by the exocrine glands D. Obstructions of granular ducts by uric acid crystals
C. Production of abnormally tenacious secretions by the exocrine glands
Samantha, a graduating student nurse assists the doctor to a G1P0 woman giving birth in the lying-in clinic. Samantha knows that the newborn is in critical condition if: A. Caput succedaneum is present B. There are no creases in the newborn's feet C. The newborn is not crying D. The newborn is cyanotic
C. The newborn is not crying
Gino Ang, who weighed 7 lbs. at birth, was discharged from the hospital on his 3rd day of life. During the next 2 weeks at home, he developed severe vomiting & weight loss, although his appetite remained good. Finally, Gino's mother brought him to the hospital ER for treatment. Gino's PE revealed severe dehydration, epigastric pain & distention, and a palpable olive-size mass in the right upper quadrant. Vomiting due to this type of obstruction is typically characterized as: 1. Bile stained 2. Initiated with great force 3. Decreasing in severity in time 4. Unaccompanied by nausea A. 1,2 B. 1,3 C. 2,3 D. 2,4
D. 2,4
Gross motor development of an infant can also be seen to the head onto what degree the infant can lift it when prone. When can you expect an infant to raise his head 90° when prone? A. 1 month B. 2 months C. 3 months D. 4 months
D. 4 months
Homer's cleft lip predisposes him to infection primarily as a result of: A. Accumulation of dried milk in the skin folds of his defect B. Disruption of normal circulation to the tissue C. Faulty general nutrition from the defect D. Mouth breathing & consequent drying of the oral mucosa
D. Mouth breathing & consequent drying of the oral mucosa
Before the repair of his lip & palate defects, the physician will probably order that Homer be fed by: A. Breastfeeding B. Metal cup C. Intravenous fluid D. Rubber-tipped medicine dropper
D. Rubber-tipped medicine dropper
SITUATION: Susie, 9 y/o has been diagnosed with tracheoesophageal fistula. Which of these symptoms will be noted by the nurse in Susie? A. Bile-stained vomiting B. Excessive drooling & abdominal distention C. Projectile vomiting D. Severe cyanosis & Stridor
D. Severe cyanosis & Stridor
During 9 months, the infant learns how to communicate actively as evident by saying a few words with meaning. Louise is now 9 months old. Her parents are really happy because she can now communicate with them. In what way do you expect how Louise communicates? A. There is a reciprocal smiling with parents B. She is now babbling C. She squeals in excitement D. She can say a few words like "mama" and "dada"
D. She can say a few words like "mama" and "dada"
According to cognitive development, preschoolers exhibit great imagination and exploration of the environment. Regine is now 3 1/2 years old. According to Piaget, what characteristic of cognitive development should she exhibit? A. Can distinguish goals from means of attaining it B. Associates words with objects C. Solves concrete problems D. Uses "make believe" and "pretend to" play
D. Uses "make believe" and "pretend to" play
A mother tells the nurse about being frustrated by the saying "no" to everything said. Which of the following statements by the nurse would be most helpful to the mother? a. "This is an expression of your child's search for autonomy that will disappear at 30 months of age." b. "Reword every question so your child will eventually say yes." c. "Walk away from your child when 'no' is said and pay attention when 'yes' is said so the behavior can be modified." d. "Start telling your child 'no' whenever something is asked for so your child will understand that negativity is not rewarding."
a. "This is an expression of your child's search for autonomy that will disappear at 30 months of age."
Which of the following findings may be noted in a child with coarctation? a. A history of headaches and nosebleeds b. Episodes of syncope c. High blood pressure in the lower extremities d. Low blood pressure in the upper extremities
a. A history of headaches and nosebleeds
What is the condition that can result if hypersecretion of growth hormone occurs after epiphyseal closure? a. Acromegaly b. Gigantism c. Dwarfism d. Cretinism
a. Acromegaly
No passage of meconium: a. All of the above b. Anal atresia c. Hirschsprung disease d. Meconium Obstruction
a. All of the above
Hemolytic disease of the newborn due to Rh sensitivity is rarely a problem in a first pregnancy because: a. Antibodies are not ordinarily formed until there is exposure to an antigen b. The mother's blood is able to neutralize antibodies formed in the first pregnancy c. Most women today are immunized against the Rh factor d. The first baby is usually Rh negative
a. Antibodies are not ordinarily formed until there is exposure to an antigen
A direct Coombs' test is done on the cord blood to detect the presence of: a. Antibodies coating the baby's red blood cells b. Antigens coating the mother's red blood cells c. Maternal red cells in the fetal circulation d. Fetal red cells in the maternal serum
a. Antibodies coating the baby's red blood cells
Routine newborn care except: a. Apgar score b. Credes prophylaxis c. Anthropometric measurements d. Vitamin K administration
a. Apgar score
An infant's parents ask the nurse about preventing otitis media. What should the nurse recommend? a. Avoid tobacco smoke b. Use nasal decongestant c. Avoid chicken with OM d. Bottle-feed or breastfeed in the supine position
a. Avoid tobacco smoke
Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include: a. Avoid use for more than 3 days b. Keeping drops to use again for nasal congestion c. Administering drops until nasal congestion subsides d. Administering drops after feeding and at bedtime
a. Avoid use for more than 3 days
Vital signs taken below 3 years old, except: a. Blood pressure b. Temperature c. Respiratory rate d. Heart rate
a. Blood pressure
The nurse is assessing a child post cardiac catheterization. Which complication might the nurse anticipate? a. Cardiac arrhythmia b. Hypostatic pneumonia c. Congestive heart failure d. Rapidly increasing blood pressure
a. Cardiac arrhythmia
An infant with a ventricular septal defect is receiving digoxin. Which of the following interventions by the nurse is most appropriate before digoxin administration? a. Check the infant's apical pulse for 1 min. b. Check the infant's radial pulse for 1 min. c. Check the infant's respiratory rate for 1 min. d. Take the infant's blood pressure
a. Check the infant's apical pulse for 1 min.
What measure of fluid balance status is most useful in a child with acute glomerulonephritis? a. Daily weight b. Proteinuria c. Specific gravity d. Intake and output
a. Daily weight
A beneficial effect of administering digoxin (Lanoxin) is that it: a. Decreases edema b. Decreases cardiac output c. Increases heart size d. Increases venous pressure
a. Decreases edema
Obstruction to the ventricles in acyanotic heart disease except: a. Eisenmenger syndrome b. Pulmonary stenosis c. Aortic stenosis d. Coarctation of the aorta
a. Eisenmenger syndrome
A child in the emergency room is suspected of having epiglottitis. Which of the following is the priority to include in this client's plan of care? a. Ensure that the child has a patent airway b. Explain the course of the disease to the parents c. Establish IV access d. Accompany the child to radiology for a lateral neck x-ray
a. Ensure that the child has a patent airway
Dorsal opening of the urethra in males: a. Epispadias b. Hypospadias c. Chordee d. Priapism
a. Epispadias
Pathologic jaundice appearance: a. First 24 hours of life b. On the second-third day of life c. Jaundice lasts for 7 days of life d. Jaundice lasts for 14 days in preterm newborn
a. First 24 hours of life
Description of a preterm except: a. Flex position b. Ruddy complexion c. Less ear cartilage d. Less rugae scrotum
a. Flex position
A recommendation to prevent neural tube defects (NTD) is the supplementation of what? a. Folic acid for all women of childbearing age b. Folic acid during the first and second trimester of pregnancy c. Vitamin A throughout pregnancy d. Multivitamin preparation as soon as pregnancy is suspected
a. Folic acid for all women of childbearing age
The nurse is caring for a family whose infant was just born with anencephaly. What is the most important nursing intervention? a. Help the family cope with the birth of an infant with a fetal defect b. Implement measures to facilitate the attachment process c. Prepare the family for extensive surgical procedures that will be needed d. Provide emotional support so the family can adjust to the birth of an infant with problems
a. Help the family cope with the birth of an infant with a fetal defect
A school-age child is admitted in vaso-occlusive sickle cell crisis (pain episode). The child's care should include which therapeutic interventions? a. Hydration and pain management b. Oxygenation and factor VIII replacement c. Electrolyte replacement and administration of heparin d. Correction of alkalosis and reduction of energy expenditure
a. Hydration and pain management
The clinical manifestations of sickle cell anemia (SCA) are primarily the result of which physiologic alteration? a. Increased red blood cell (RBC) destruction b. Greater affinity for oxygen c. Deficiency in coagulation d. Decreased
a. Increased red blood cell (RBC) destruction
An infant is diagnosed with patent ductus arteriosus. Which of the following drugs may be administered in hopes of achieving pharmacologic closure of the defect? a. Indomethacin b. Furosemide c. Digoxin d. Prednisone
a. Indomethacin
Test of spinal cord integrity in the newborn, except: a. Landau reflex b. Magnet reflex c. Cross extension reflex d. Trunk incurvation reflex
a. Landau reflex
Déjà vu, age 3 is brought to the pediatric clinic by her mother who reports that she has a sore throat and fever and will not eat or drink. The physician diagnoses epiglottis. Which symptoms are associated with epiglottis? a. Leaning forward, anxiety, drooling, and muffled voice b. Dyspnea, restlessness, hoarseness, and moaning c. Crouching, leaning with hands stretched out in back, and extended neck d. Ruddy complexion, distended neck veins, and knee-chest position
a. Leaning forward, anxiety, drooling, and muffled voice
The nurse should suspect a child has cerebral palsy if the parent says what? a. My 4-month-old doesn't lift his head when on his tummy b. My 8-month-old can sit without support c. My 10-month-old is not walking d. My 6-month-old is rolling from back to prone now
a. My 4-month-old doesn't lift his head when on his tummy
Clinical manifestation of patent ductus arteriosus except: a. Narrow pulse pressure b. Palpable thrill c. Bounding pulse d. Machinery-like murmur
a. Narrow pulse pressure
Condition accompanying myelomeningocele except: a. None of the above b. Hydrocephalus c. Clubfoot d. Congenital hip dysplasia
a. None of the above
Croup syndrome except: a. None of the above b. Bacterial croup c. Viral croup d. Bacterial tracheitis
a. None of the above
Mrs. Vi Vingkas has been told by her physician that her baby may be affected by hemolytic disease of the newborn. She was admitted to the hospital for study and care. Which one of the following combinations of blood types is most likely to produce hemolytic disease of the newborn? a. O- mother and A+ father b. A+ mother and A- father c. O- mother and B- father d. O+ mother and O- father
a. O- mother and A+ father
Déjà vu, age 3 is brought to the pediatric clinic by her mother who reports that she has a sore throat and fever and will not eat or drink. The physician diagnoses epiglottis. The nurse's first action when caring for Déjà vu should be to: a. Obtain a tracheostomy set and notify the physician b. Begin respiratory precautions immediately c. Obtain IV and oxygen equipment d. Obtain a cardiac monitor and an emergency equipment cart
a. Obtain a tracheostomy set and notify the physician
Clinical manifestation of intussusception except: a. Olive-shaped mass b. Sausage-shaped mass c. Bilious vomitus d. Currant jelly-like stoo
a. Olive-shaped mass
Type of atrial septal defect among Down syndrome: a. Ostium primum b. Ostium secundum c. Sinus venosus d. Ductus venosus
a. Ostium primum
Increased pulmonary blood flow: a. Patent ductus arteriosus b. Coarctation of the aorta c. Transposition of the great vessels d. Tetralogy of Fallot
a. Patent ductus arteriosus
Gil Puyat, 13-month-old has a history of repeated upper respiratory infection and poor weight gain. He was admitted to the hospital with pneumonia 3 days ago. Today he is diagnosed with cystic fibrosis. Nursing care FOR Gil should involve all the following except: a. Preventing disease transmission b. Assisting with oxygenation c. Maintaining nutritional needs d. Preventing infection
a. Preventing disease transmission
SITUATION: A 4-year-old child is admitted to the pediatric unit for a tonsillectomy and adenoidectomy. The parents plan to stay as often as possible. The child's growth and development are normal. The nurse explains to the parents that after surgery and a brief stay in the recovery room, their child will return to the room and be positioned to prevent aspiration. The nurse will place the child in which of the following positions? a. Prone b. Supine c. Trendelenburg d. Lithotomy
a. Prone
Which congenital cardiac anomaly is associated with tetralogy of Fallot? a. Pulmonary stenosis, right ventricular hypertrophy, ventricular septal defect, and dextroposition of the aorta b. Aortic stenosis, right ventricular hypertrophy, atrial septal defect, and dextroposition of the aorta c. Hole in the ventricular septum allowing communication between the ventricles d. Origination of the aorta from the right ventricle and the origination of the pulmonary artery from the left ventricle
a. Pulmonary stenosis, right ventricular hypertrophy, ventricular septal defect, and dextroposition of the aorta
Which structural defects constitute tetralogy of Fallot? a. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy b. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy c. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy d. Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy
a. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
A child is admitted for minimal change nephrotic syndrome. The nurse recognizes that the child's prognosis is related to what factor? a. Response to steroid therapy b. Amount of protein in urine c. Creatinine clearance d. Admission blood pressure
a. Response to steroid therapy
Clinical Manifestation of Pyloric Stenosis except: a. Sausage-shaped mass b. Projectile vomiting c. Visible peristalsis d. Constipation
a. Sausage-shaped mass
Effects on cold stress except: a. Shivering b. Metabolic acidosis c. Cyanosis d. Hypoglycemia
a. Shivering
A child has cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes that these symptoms are characteristic of which respiratory condition? a. Sinusitis b. Asthma c. Allergic Rhinitis d. Bronchitis
a. Sinusitis
What type of cerebral palsy is the most common type? a. Spastic b. Dyskinetic c. Mixed type d. Ataxic
a. Spastic
Three of the following are congenital defects associated with TOF. Which is not included? a. Stenosis of the mitral artery b. Stenosis of the pulmonary artery c. Interventricular septal defect d. Deviation of the aorta
a. Stenosis of the mitral artery
Gil Puyat, 13-month-old has a history of repeated upper respiratory infection and poor weight gain. He was admitted to the hospital with pneumonia 3 days ago. Today he is diagnosed with cystic fibrosis. The physician prescribes enzyme (pancreas) for him to: a. Supply needed enzymes to digest food b. Prevent an allergic reaction to milk c. Soften stools and prevent constipation d. Prevent upper respiratory infections
a. Supply needed enzymes to digest food
Cyanotic heart disease that is incompatible with life, except: a. Tetralogy of Fallot b. Tricuspid atresia c. Hypoplastic left heart syndrome d. Transposition of the great arteries
a. Tetralogy of Fallot
Which of the following precautions should be observed when baby Lobo is ordered to receive phototherapy? a. The eyes should be patched b. The genitalia should be exposed c. Feedings should be withheld d. Oxygen therapy should be withheld
a. The eyes should be patched
Rare incidence of cyanotic heart disease: a. Total anomalous venous drainage b. Truncus arteriosus c. Tricuspid atresia d. Hypoplastic left heart syndrome
a. Total anomalous venous drainage
Presence of any of these defects for a cyanotic heart disease to survive, except: a. Tricuspid atresia b. Patent ductus arteriosus c. Ventricular septal defect d. Atrial septal defect
a. Tricuspid atresia
A 4-year-old child is admitted to the pediatric unit for a tonsillectomy and adenoidectomy. The parents plan to stay as often as possible. The child's growth and development are normal. After the child finally awakens, the mother asks the nurse for something to eat or drink. Which of the following would be best for the child initially? a. Vanilla pudding b. Tomato juice c. Chocolate milk d. A yellow popsicle
a. Vanilla pudding
Communication between the pulmonary artery and the right or left subclavian artery: a. Blalock-Taussig shunt b. Jatene procedure c. Fontan Procedure d. Bidirectional Glenn shunt
b. Jatene procedure
Major Jones Criteria of Rheumatic Fever except: a. Pancarditis b. Strawberry tongue c. Chorea d. Erythema marginatum
b. Strawberry tongue
The nurse is evaluating a child who is taking digoxin for her cardiac condition. The nurse is cognizant that a common sign of digoxin toxicity is: a. Seizure b. Vomiting c. Bradypnea d. Tachycardia
b. Vomiting
What information should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations? a. Give with meals b. Stop immediately if nausea and vomiting occur c. Adequate dosage will turn the stools a tarry green color d. Allow preparation to mix with saliva and bathe the teeth before swallowing
c. Adequate dosage will turn the stools a tarry green color
It is generally recommended that a child with acute streptococcal pharyngitis can return to school: a. When the sore throat is better b. If no complication develops c. After taking antibiotics for 24 hrs. d. After taking antibiotics for 3 days
c. After taking antibiotics for 24 hrs.
A child diagnosed with influenza, probably type A disease. Management includes: a. Clear liquid diet for hydration b. Aspirin to control fever c. Amantadine hydrochloride to reduce symptoms d. Antibiotics to prevent bacterial infection
c. Amantadine hydrochloride to reduce symptoms
What is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures? a. Pulmonary congestion b. Congenital heart defect c. Congestive heart failure d. Systemic venous congestion
c. Congestive heart failure
Which statement is characteristic of acute otitis media (AOM)? a. Permanent hearing loss often results b. The etiology is unknown c. It is treated by a broad range of antibiotics d. It can be treated by intramuscular antibiotics
c. It is treated by a broad range of antibiotics
A clinical manifestation of the systemic venous congestion that can occur with congestive heart failure is: a. Tachypnea b. Tachycardia c. Peripheral edema d. Pale, cool extremities
c. Peripheral edema
Chronic otitis media with effusion is differentiated from acute otitis media because it is usually characterized by: a. Fever as high as 40 degrees C b. Severe pain in the ear c. Nausea and vomiting d. A feeling of fullness in the ear
d. A feeling of fullness in the ear
Jose is a 4-year-old child scheduled for a cardiac catheterization. Preoperative teaching should be: a. Directed at his parents because he is too young to understand b. Detailed in regard to the actual procedures so he will know what to expect c. Done several days before the procedure so that he will be prepared d. Adapted to his level of development so that he can understand
d. Adapted to his level of development so that he can understand
The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is too wet. The nurse finds that the bandage and the bed are soaked with blood. The most appropriate initial nursing action is to: a. Notify the physician b. Apply a new bandage with more pressure c. Place the child in the Trendelenburg position d. Apply direct pressure above the catheterization site
d. Apply direct pressure above the catheterization site
The parents of an infant with cerebral palsy ask the nurse if their child will have cognitive impairment. The nurse response should base on which knowledge? a. About 45% of affected children have normal intelligence b. Around 20% of affected children have normal intelligence c. Affected children have some degree of cognitive impairment d. Cognitive impairment is expected if motor and sensory deficits are severe
d. Cognitive impairment is expected if motor and sensory deficits are severe
When caring for an infant with an upper respiratory tract infection and elevated temperature, an appropriate nursing intervention is to: a. Give tepid water baths to reduce fever b. Encourage food intake to maintain caloric needs c. Have the child wear heavy clothing to prevent chilling d. Give small amounts of favorite fluids frequently to prevent dehydration
d. Give small amounts of favorite fluids frequently to prevent dehydration
The parent of an infant with nasopharyngitis should be instructed to notify the healthcare professional if the infant: a. Becomes fussy b. Has a cough c. Has a fever over 99 degrees F d. Shows signs of an earache
d. Shows signs of an earache
